Organization

Palm Beach Pain Llc

Interventional Pain Medicine Physician in Palm Beach Gardens, FL(View on Map)

Legal Business Name

Palm Beach Pain Llc

NPI Number

1386183549

NPI Type

Organization

Enumeration Date

02/20/2017

Specialties

(Taxonomies)

Code

208VP0014X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME87536

Contact
Information

Purpose

Mailing
Location

Address

5610 PGA BLVD STE 210
5610 PGA BLVD STE 210

City

Palm Beach Gardens
Palm Beach Gardens

State

FL
FL

Postal Code

33418-3838
33418-3838

Country

US
US

Telephone Number

(561) 781-8010
(561) 781-8010

Authorized Official

Name

Dr. Ricardo Leano

Title or Position

PRESIDENT

Telephone Number

(561) 781-8010

Identifiers

Identifier

015251200

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/20/2017

Provider Address

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